Individual provider Active NPI

Marcelyn Villegas Ormeo, PT

  • Physical Therapist
  • Warren, MI
National Provider Identifier
1093212938
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501004368 Issued in MI
Practice address
13251 E 10 Mile Rd Ste 400NA
Warren, MI 48089-2076
Phone
(586) 759-7474
Fax
(586) 759-7476
NPI assigned
Apr 8, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 5501004368 MI Primary

Addresses

Primary practice location

13251 E 10 Mile Rd Ste 400NA
Warren, MI 48089-2076

Mailing address

13251 E 10 Mile Rd Ste 400
Warren, MI 48089-2000
Phone (586) 759-7474

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mormeo15535@direct.hfhs.org
Direct Messaging Address mormeo15535@direct.hfhs.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5501004368MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Macomb Hospital Corporation Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1093212938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13251 E 10 MILE RD STE 400",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480892000",
            "telephone_number": "586-759-7474",
            "fax_number": "586-759-7476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13251 E 10 MILE RD STE 400NA",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480892076",
            "telephone_number": "586-759-7474",
            "fax_number": "586-759-7476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORMEO",
        "first_name": "MARCELYN",
        "middle_name": "VILLEGAS",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-08",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501004368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mormeo15535@direct.hfhs.org",
            "affiliation": "N",
            "address_1": "13251 E 10 Mile Rd Ste 400Na",
            "city": "Warren",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480892076",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mormeo15535@direct.hfhs.org",
            "affiliation": "N",
            "address_1": "13251 E 10 Mile Rd Ste 400Na",
            "city": "Warren",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480892076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.